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Organization
SIXFOURTHREE, LLC
Active
Organization
SIXFOURTHREE, LLC
Active
Other names
Tradition Physical Therapy, Fairhope Physical Therapy Services, Johnson and Hayes Physical Therapists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT T HAYES (OWNER)
(256) 883-1970
Entity
Organization
Contact information
Practice address
4240 BALMORAL DR SW STE 100, HUNTSVILLE, AL 35801-5633
(256) 883-1970
(256) 883-8061
Mailing address
PO BOX 18863, HUNTSVILLE, AL 35804-8863
(256) 883-1970
(256) 883-1336
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J163
MEDICARE GROUP ID
AL
01
—
K587
MEDICARE GROUP ID
AL
Enumeration date
06/20/2006
Last updated
08/10/2026
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